to a large extent, they are dependent
on the service of caregivers for activities of daily
living (ADLs). The criterion for patient selection was that
physical symptoms and cognitive impairment must have
been stable for the preceding 3 months. During this 3-month
period no patient had acute disorders (e.g., severe infection,
heart failure, or stroke requiring special treatment and intensive
care). Chronic diseases suffered by the patients included
previous stroke, hypertension, arrhythmia, previous myocardial
infection, diabetes mellitus, and inactive gastric ulcer.
Mental function varied from slight cognitive impairment
to dementia. A few patients in each nursing home could
not participate in the study because they could not give informed consent. No patient had any chronic pulmonary disease
such as chronic obstructive pulmonary disease, bronchial
asthma, or pulmonary fibrosis.
to a large extent, they are dependenton the service of caregivers for activities of dailyliving (ADLs). The criterion for patient selection was thatphysical symptoms and cognitive impairment must havebeen stable for the preceding 3 months. During this 3-monthperiod no patient had acute disorders (e.g., severe infection,heart failure, or stroke requiring special treatment and intensivecare). Chronic diseases suffered by the patients includedprevious stroke, hypertension, arrhythmia, previous myocardialinfection, diabetes mellitus, and inactive gastric ulcer.Mental function varied from slight cognitive impairmentto dementia. A few patients in each nursing home couldnot participate in the study because they could not give informed consent. No patient had any chronic pulmonary diseasesuch as chronic obstructive pulmonary disease, bronchialasthma, or pulmonary fibrosis.
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